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Fully Occupied for 2016-2017
APPLICATION TO RENT OR LEASE
APPLICANT Each Applicant over the age of 18 must complete their own application form PLEASE PRINT
First, Middle, Last Name Date of Birth Social Security # Driver's License #
Other Names Used In the Last 10 Years: Home Phone Cell Phone Email Address
ADDITIONAL OCCUPANTS List everyone, who will live with you:    
First, Middle, Last Name Relationship To Applicant
EMPLOYMENT
  Current Employment Prior Employment
Employer
Address
Employer Phone
Job Title
Name of Supervisor
Dates of Employment
From: To:
From: To:
Income Per Month $  $ 
RESIDENCE
  Current Residence Previous Residence
Street Address
City
State & Zip
Job Title
Dates of Stay
Reason For Leaving
Last Rent Paid $  $ 
VEHICLES
Automobiles Make Model Color Year License No.
Motorcycles
PERSONAL REFERENCES
In Case Of Emergency, Notify Address/City Phone Relationship




CREDIT INFORMATION Please list all your financial obligations
Name of Bank or Savings & Loan Branch or Address Account No. Balance
Credit Accounts Account No. Address/City Phone Balance Due Monthly

GENERAL INFORMATION Check answer that applies
Do you smoke?
Do you have any pets?
Have you ever filed for bankruptcy?
Do you have any musical instruments?
Do you have any waterfilled furniture or do you intend to use water filled furniture in the apartment?
Have you ever been convicted for selling, possessing, distributing or manufacturing illegal drugs or convicted of any other crime?
Have you ever been evicted for nonpayment of rent or any other reason?
Please explain any "yes" answers to the above questions:
Why are you leaving your current residence?